CTO / Technical Cofounder — AIspire360

Compensation: $140k – $180k • 1.0% – 3.0%

Clinical AI tools in healthcare are broken. Practices use an AI scribe that doesn't talk to their AI receptionist. A mental health companion that doesn't know what happened in the last visit. A care coach that can't see the chart. Every tool captures data and traps it. Clinicians end up with five tabs, five logins, and zero clinical continuity.

We're building the opposite: four specialized agents on one shared brain.

• Aria Call Agent, Aria Medical Scribe, Aria Mind, Aria Care

What Voice learns, Scribe knows. What Mind tracks, Care responds to. That connective tissue — the shared knowledge graph underneath — is what we're really building. It's the moat.

Traction

• $1.8M projected ARR with first few customers signed and piloting
• $3.5M seed round looking for a lead investor and strategic angel investors
• Focused vertical: behavioral health and weight loss (high-volume, underserved, longitudinal care workflows)

The technical problem This is a hard multi-agent orchestration challenge:

Agent coordination layer — four specialized LLMs that share context without stepping on each other Clinical knowledge graph — vector embeddings + structured EHR data + longitudinal patient memory FHIR/EHR integration — bidirectional sync with Epic, Athena, Cerner, plus the long tail of practice management systems Real-time clinical decision support — flagging crisis signals, drug interactions, care gaps during live conversations SOC 2 Type II + HIPAA compliance — from day one, not bolted on later

We're not building CRUD. We're building the AI infrastructure layer for outpatient care.

The role

You'll own:

• Platform architecture — the multi-agent orchestration system, knowledge graph, and integration layer
• Founding engineering team — hire the first 3-5 engineers, set engineering culture
• Product technical roadmap — what we build, in what order, and why
• Compliance and security infrastructure — SOC 2, HIPAA, BAAs, the stuff that makes healthcare AI real

You'll work directly with the CEO (20+ years building sales orgs, deep healthcare networks) and early clinical advisors (practicing psychiatrists and addiction medicine specialists).

• You've built and shipped multi-agent systems, RAG pipelines, or clinical AI products before
• You've been technical leader or founding engineer at a startup (not just at FAANG)
• You're comfortable writing code in year one — at seed stage, you are the engineering team
• You know healthcare is different: compliance isn't optional, clinical accuracy is life-or-death, and EHR integrations are hell

Tech stack

Backend: Python, FastAPI, PostgreSQL, Redis AI/ML: OpenAI / Anthropic APIs, LangChain / LlamaIndex, vector DBs (Pinecot / Weaviate / pgvector) Integrations: FHIR APIs, HL7, Epic/Athena/Cerner connectors Infrastructure: AWS or GCP, Kubernetes, Terraform Compliance: SOC 2 Type II, HIPAA, encrypted at rest + in transit

Not dogmatic on the stack — if you have strong opinions on better tools, we're open.

Apply **Email [email protected] **

We're moving fast. First round of conversations happening next week.